Donahue, Grettel C.

Donahue, Grettel C. is an sole proprietor health care provider with primary practice located at 1111 W Lake St , Addison IL 60101-1101. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Donahue, Grettel C. can be contacted via phone (630) 628-1811.

Contact Information

Primary practice address
1111 W Lake St Addison IL 60101-1101
Fax: (630) 628-1501
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036108129 Illinois

Profile Details

NPI number 1477605913
LBN Legal business name Donahue, Grettel C.
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated May 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477605913 NPPES
Illinois MEDICAID 036108129

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